Medicare Advantage

Honolulu's 2027 C-SNP lineup: two plans for people with a qualifying chronic condition

Honolulu County has 29 Medicare Advantage plans for 2027. Compared with 2026, 4 plans are not coming back, 5 are new, and 13 continuing plans changed in some way you should check before December 7, 3 of them under a new name. This guide covers what those numbers mean for Honolulu, not which plan to pick.

HONOLULU — For 2027, people on Medicare in Honolulu County who live with certain chronic conditions will have two Chronic Condition Special Needs Plans, or C-SNPs, to consider during this fall's Annual Enrollment Period. Both are offered by Devoted Health, and one of them is new for next year.

C-SNPs are a specific kind of Medicare Advantage plan. They are built around a qualifying chronic diagnosis — think conditions like diabetes, chronic heart failure or chronic lung disorders — and a provider has to confirm you have that condition before you can enroll. If you do qualify, you also get a Special Enrollment Period, which means you don't have to wait for the fall window to join.

Here is what Honolulu residents should know as they weigh their 2027 options.

What a C-SNP actually is

A Chronic Condition Special Needs Plan is one of three types of Medicare Advantage Special Needs Plans. The other two are D-SNPs (for people with both Medicare and Medicaid) and I-SNPs (for people living in certain institutional settings, like a nursing home).

All three types package Part A, Part B and Part D together — every C-SNP in Honolulu County for 2027 includes drug coverage. What makes a C-SNP different from a regular Medicare Advantage plan is that CMS lets the carrier tailor the plan to a specific chronic condition or group of conditions. Everyone enrolled in that plan has the same qualifying diagnosis, so the plan can be designed around their shared care needs.

The C-SNPs offered in Honolulu County for 2027

Honolulu is in Honolulu County, and Medicare Advantage plans are approved at the county level. Of the 29 Medicare Advantage plans offered in the county for 2027, two are C-SNPs. Both are from the same carrier.

In alphabetical order by carrier, the 2027 C-SNPs are:

• DEVOTED C-SNP GIVEBACK EXTRAS 006 HI (HMO C-SNP) — Devoted Health; new for 2027; includes drug coverage.
• DEVOTED C-SNP PLUS 003 HI (HMO C-SNP) — Devoted Health; includes drug coverage.

The table below lists every Medicare Advantage plan in the county, including these two. For the specific condition each C-SNP serves, along with its premium, cost sharing, provider network and drug formulary, check the plan's own materials on Medicare's Plan Finder at medicare.gov or call 1‑800‑MEDICARE.

For context, Honolulu County also has 5 Dual Eligible Special Needs Plans (D-SNPs) for 2027. There are no I-SNPs in the county.

How enrollment works — and why the diagnosis matters

A C-SNP is not open to everyone. To join, you need:

1. Medicare Part A and Part B. 2. A qualifying chronic condition, as defined by CMS for that specific plan. 3. Confirmation from a provider — usually a signed form the plan sends to your doctor.

The plan has a short window to get that confirmation after you apply. If your provider does not verify the condition, the plan cannot keep you enrolled.

This is also why there is a Special Enrollment Period attached to C-SNPs. Once you are diagnosed with a qualifying condition, you don't have to wait until the next October to switch — you can enroll in a C-SNP outside the Annual Enrollment Period. If you later lose eligibility (for example, your condition no longer qualifies under the plan's rules), Medicare gives you another Special Enrollment Period to move to a different plan.

The 2026 calendar — and what is not pressure

The Annual Enrollment Period runs October 15 through December 7, 2026. Any change you make in that window takes effect January 1, 2027.

If you do nothing, nothing dramatic happens: your current plan renews for 2027 if it is still being offered, with the changes described in your Annual Notice of Change (ANOC). That document arrives by late September — read it. Across Honolulu County, 4 plans are not returning for 2027, 5 are new, and 3 have been renamed, so it is worth checking that your plan is still the plan you think it is.

If you qualify for a C-SNP, remember you have your own Special Enrollment Period and are not boxed in by Dec. 7.

A few 2027 Part D figures to keep in mind

Because every C-SNP in Honolulu County includes drug coverage, these program-level numbers matter:

• The Part D out-of-pocket cap is $2,400 in 2027 (up from $2,100 in 2026).
• The Part D maximum deductible is $700 in 2027 (up from $615 in 2026).
• The donut hole is gone — Part D has three phases now.
• The Medicare Prescription Payment Plan lets you spread drug costs across the year in monthly installments if that helps your budget.

CMS announces the 2027 Part B premium, Part B deductible and IRMAA income brackets later in the fall, usually in November. We will not estimate them here.